Healthcare Provider Details

I. General information

NPI: 1225909567
Provider Name (Legal Business Name): SEAN PECK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 N HIGH SCHOOL RD
INDIANAPOLIS IN
46254-2709
US

IV. Provider business mailing address

3820 N HIGH SCHOOL RD
INDIANAPOLIS IN
46254-2709
US

V. Phone/Fax

Practice location:
  • Phone: 317-299-3330
  • Fax: 317-299-0404
Mailing address:
  • Phone: 309-343-2117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.014359
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003578A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: